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First NHS trusts awarded foundation status
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     The first trusts in England to be awarded foundation status have been named, amid continuing concerns that the policy will worsen inequalities in the NHS.

    The 10 trusts authorised by the body responsible for overseeing foundation trusts, the Independent Regulator of NHS Foundation Trusts, will still have to meet key national targets, but they will be able to exercise greater autonomy in areas such as setting local priorities and borrowing from commercial sources.

    The successful NHS trusts are Basildon and Thurrock University Hospitals, Bradford Teaching Hospitals, Countess of Chester Hospital, Doncaster and Bassetlaw Hospitals, Homerton University Hospital, Moorfields Eye Hospital, Peterborough and Stamford Hospitals, Royal Devon and Exeter, the Royal Marsden, and Stockport.

    Two trusts, Rotherham General Hospitals and North Tees and Hartlepool, have requested that a decision on their status be deferred while they carry out more work in support of their application.

    "This is a very significant day for the NHS," said the health secretary, John Reid, in response to the announcement by the chairman of the independent regulator, Bill Moyes. "These first NHS foundation trusts will be able to respond more quickly and directly to the needs of NHS patients and for the first time will give local people a say in how their local hospital is run."

    Ian Balmer, chief executive of London抯 Moorfields Hospital, said: "We will be able to plan more effectively for the future by being able to respond more quickly to the needs of our patients."

    So far 25 trusts have been given support from the health department to apply for foundation status. The regulator considered the more straightforward 12 in the first wave. The next batch, to be decided by July, will include trusts such as Guy抯 and St Thomas抯, University College London, and Addenbrooke抯.

    The public sector union UNISON, which has opposed the creation of foundation hospitals, has now urged the government to keep an open mind on their future until a review into the first wave of trusts reports its findings.

    "UNISON continues to have severe reservations about the creation of foundation trusts, and nothing we have heard so far changes that view," said the union抯 head of health, Karen Jennings.

    The BMA also initially opposed plans for foundation hospitals. But a spokesperson said, "We still have concerns, but we are looking to be sure that the implementation of the plans goes smoothly in the hope that our concerns won抰 be realised."

    The NHS Confederation, which represents NHS organisations, has welcomed the move as an important milestone in NHS reform.(Adam Zeman, D.M.)